InspireMD
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InspireMD (NSPR) investor relations material

InspireMD Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary18 Mar, 2026

Executive summary

  • Q4 2025 revenue reached $3.1 million, up 62% year-over-year and 25% sequentially, with strong U.S. commercial traction from the CGuard Prime launch and over 500 cumulative procedures performed.

  • Full year 2025 revenue was $9.0 million, a 28% increase over 2024, supported by international growth and U.S. expansion.

  • Built a U.S. commercial team exceeding 30 people, focusing on operational expansion and manufacturing capacity.

  • Leveraged experience from 70,000+ cases in 30 international markets to support the U.S. launch.

  • Completed enrollment in CGUARDIANS II pivotal trial and submitted PMA-S to FDA for TCAR indication.

Financial highlights

  • Q4 2025 revenue was $3.1 million, with U.S. revenue at $866,000 (up 74% sequentially) and international revenue at $2.3 million (up 17% year-over-year, with FX contributing 7%).

  • Q4 2025 gross profit was $1.2 million (37.5% margin), up from $469,000 (24.1%) in Q4 2024; full year gross profit was $2.7 million (29.5% margin).

  • Q4 2025 net loss was $11.8 million ($0.14 per share), compared to $9.2 million ($0.19 per share) in Q4 2024; full year net loss was $48.8 million ($0.76 per share).

  • Cash and equivalents plus marketable securities totaled $54.2 million at year-end 2025, up from $34.6 million a year earlier.

  • Operating expenses rose to $13.3 million in Q4 and $52.3 million for the full year, mainly due to increased commercial staffing and marketing.

Outlook and guidance

  • 2026 revenue expected in the range of $13–$15 million, representing 45–65% growth over 2025.

  • Sequential revenue growth anticipated in the second half of 2026, driven by FDA label expansion for TCAR and enhanced delivery system launch.

  • OUS sales expected to show moderate growth, while U.S. growth will accelerate in H2 2026 as catalysts materialize.

  • Management anticipates further catalysts in 2026 to accelerate adoption and growth.

TCAR approval impact on U.S. market opportunity
Gross margin expansion drivers in Q4 2025
U.S. commercial launch impact on 2025 expenses
U.S. account pipeline and VAC approval status
TCAR approval and SwitchGuard launch timelines
Regulatory path for the next-gen delivery system
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